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Director, Managed Care Contracting

2 months ago

Jamesburg, United States Open Networks Full time

OpenNetworks envisions a future where healthcare is driven by collaboration, transparency, and innovation. We are creating America's most advanced health network. An open-source platform which will deliver a true marketplace for payors, providers and supporting entities in healthcare services to connect directly. OpenNetworks isn't just an organization: it is a community of forward-thinkers, change-makers, and advocates for a healthier tomorrow. Together, we are creating a legacy that transcends traditional healthcare paradigms. Join us Role Responsibilities: Contract Negotiation:

Lead the negotiation and execution of managed care contracts, ensuring favorable terms that support the company’s financial and operational objectives. Operational Oversight:

Oversee the day-to-day management of managed care contracts, ensuring compliance with terms and optimizing performance. Collaboration:

Work closely with organizational stakeholders to align contracting strategies with organizational goals. Market Insights:

Conduct market analyses to identify trends and opportunities, providing insights to inform contract negotiations and strategies. Regulatory Compliance:

Ensure all managed care contracts comply with relevant regulations, maintaining up-to-date knowledge of changes in healthcare laws and policies. Experience: Contracting Experience:

Minimum of 7 years in managed care contracting, with at least 3 years in a leadership role within a healthcare setting. Negotiation Skills:

Proven track record of negotiating contracts with major insurance providers. Regulatory Knowledge:

Strong understanding of healthcare regulations, including Medicare and Medicaid. Financial Acumen:

Ability to develop and manage budgets, forecasts, and cost-saving initiatives. Leadership Skills:

Experience leading teams and working collaboratively with diverse stakeholders. Project Management:

Strong project management skills, with experience in leading large-scale contracting projects from conception to execution. Industry Connections:

Established network within the healthcare industry, including relationships with key payers and providers.

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